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25 | On 10/17/2024, Licensing Program Analysts (LPA's) Tobola & Jain conducted an unannounced Annual Required – 1 yr. inspection for this facility and was greeted by Executive Director, Mark Nitcsche & Healthcare Administrator, Ryan Banner. The facility currently provides care for 298 residents, 1 of which is receiving hospice services, along with a designated memory care unit.
LPA continued with a tour of the facility with staff, facility found to be clean and at a comfortable temperature with all exits free from obstruction. Resident’s bedrooms, common areas, kitchen & food storage areas were inspected. Fire Extinguishers located on each resident floor and kitchen were found to be last charged on 1/25/2024. Smoke and carbon monoxide detectors were interconnected and found throughout the facility. Fire Safety Inspection is completed on a monthly basis with all fire safety devices and systems to be in order. Water at faucets accessible to residents measured between 105.4 and 108.5 degrees F which is within regulation.
There was a sufficient supply of both perishable and nonperishable foods as required by Title 22 Regulations, with food stored in the kitchen, sufficient for residents in care. Food supply is replenished constantly through the week and stored properly. Facility provides a wide variety of meal preferences and preparation while also ensuring proper dietary restrictions are followed. Cleaning supplies and other toxins are safely stored in locked closets throughout each floor, and housekeeping/maintenance rooms all of which were secured upon inspection. There was a supply of hygiene products and paper products available for residents. All resident’s bedrooms have lighting & appropriate furnishings and bedding items.
Residents that were awake during the inspection were observed interacting with staff, fellow residents and visitors in the common areas, or in their bedrooms resting. The facility encourages regular family visits and utilizes a wide variety of activities with LPA observing staff engaging continuously with residents, offering activities based on individualized preferences. LPA found that staff and resident engagement is well practiced with activity calendars developed on a monthly basis. Residents were observed to have a positive and personable relationship with staff and Executive Director. There are multiple outdoor patios for resident use, all equipped with appropriate shading. Continued onto LIC809-C |